School of Medicine and Health Sciences
Permanent URI for this collectionhttp://41.89.31.6:4000/handle/123456789/315
Welcome to School of Medicine and Health Sciences collection.This collection contains Journal articles published by faculty affiliated to the school.
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Item Influence of Demographic Factors on Uptake of Diagnostic Imaging by Oncology Patients in South Rift Counties, Kenya(Journal of Medicine, Nursing and Public Health,, 2024-08) Muikamba, Lilian; Tenambergen, Wanja; Muiruri, LilianPurpose: To determine the influence of demographic factors on uptake of diagnostic imaging by oncology patients in South Rift Counties, Kenya. Methodology: A cross-sectional research design was adopted when collecting data from 5 public hospitals in South Rift Counties. The study issued questionnaires to oncology patients and interviewed the rest of the respondents. A pre-test study was done at Texas Cancer Center in Nairobi County. Quantitative data was analyzed using descriptive statistics and binary logistic regression analysis. Qualitative results data was analyzed through thematic method. Results: 74(25%) patients had 41-50 years and 65(22%) were 61-70 years. The least number of oncology patients who were 3(1%) and they were 18-20 years of age. Further, 264(89%) were married while 33(11%) were not married. Additionally, 182(61%) were male patients while 115(39%) were female patients. Additionally, 166(56%) had a tertiary level of education while 39(13%) had primary school qualifications. In addition, 203(68%) were Christians and 80(27%) were Muslims and only 5(2%) were not religious. Notably, 110(37%) of the patients had breast cancer while 77(26%) had colon cancer. The least group of patients who were 12(4%) had lung cancer. Additionally, most of healthcare workers who were 12(39%) had more than 50 years while 10(32%) had 41-50 years. However, 4(13%) had 18-30 years. Further, 18(58%) had a master’s degree while 5(16%) had a PhD. In addition, 17(55%) had more than 10 years of service while only 5(16%) had 5-7 years. The Chi-square result revealed that χ2 (1, N = 297) = 461.599, p < 0.05. That is the Pearson Chi-Square was 461.599 at a p-value of 0.027. Conclusion and Recommendations: Most patients that sought cancer diagnostic imaging were middle and old aged male people who were married. This meant that unmarried young female adults hardly sought imaging services. The most common cancer illnesses scanned were breast, colon, and cervical cancers. The study recommends that that the hospital management should provide more funding for sensitization programs to inform unmarried young people especially females to seek early diagnostic imaging services. This will enable them to ensure that no cancerous cells are growing to be discovered at a late stage for effective management.Item Influence of Recognition Systems on Performance of the Health Workers in Public Health Facilities In Wajir County, Kenya(Journal of African Interdisciplinary Studies (JAIS), 2022-09) Hussein, Abdikadir Abbey; Oluochi, Musa; Mwangi, MuthoniDespite the ongoing health sector reforms in Kenya, services have remained poor especially in Wajir County. The inadequate performance of health workers coupled with lack of adequate support from the central and local governments are believed to have partly contributed to this deterioration and stagnation of some of the important health indicators under the second Health Sector Strategic Plan (HSSP II). Whatever the case, poor performance of individual health workers culminates into poor organizational performance. Failure of the stakeholders in the health sector to implement programmes meant to enhance workforce performance has led to poor quality of health services seen currently in the country. The study adopted a cross sectional survey research design with descriptive approach involving 109 health workers from 77 public health facilities in five sub-counties namely Wajir North, Wajir South, Wajir East, Wajir West, Eldas and Tarbaj. The survey used questionnaires to collect data from the respondents. Consent was obtained from participants. Logistic regression analysis results indicated that recognition systems influenced performance of health workers in Wajir County, Kenya. Recognition systems determined health workers’ performance. Public health facilities should focus on devising and practicing various forms of intrinsic reward systems such as; career advancement, promotion, praises, appreciation, democratic solution to problems, etc. in order to improve health workers’ performance and hence health services.Item Factors Influencing Utilization of Health Information System in the Management of Missed Appointments among HIV Positive Patients in Mombasa County(Journal of African Interdisciplinary Studies (JAIS), 2021-10) Mbiya, Odilia Amalemba; Kyalo, Caroline Kawila; Kawila, CarolineA health system requires a well-functioning health information system as it enhances measurement of health outcomes, accountability for resource allocations and assists in arriving at effective health care decisions. An effective health information system captures individual patient data including demographics and data related to clinics on management of population, analysis and reporting of patient risk elements and pinpointing of proactive patients therefore providing reminders where care is delivered. This process of utilizing health information reduces missed appointments, increases retention rate and improves patients’ health outcome .With low retention rates among HIV positive patients, this study aimed at determining the factors associated with the utilization of health information in curbing missed appointments. Utilization of health information involve collection, collation and monitoring in identification of key areas worth addressing within the health structures to direct designing of suitable health mediation to advance health. The research study was guided by the following specific objective to establish infrastructural factors influencing health information utilization. This study utilized descriptive cross-sectional study design using quantitative method of data collection to assess utilization of health information among healthcare workers. The study population for this research was approximately 215 CCC, a sample size of 69 health care workers in three high volume hospitals offering HIV care in Mombasa County (Coast general, Bomu Hospital and Portreitz). Primary data was obtained via questionnaires while secondary data was obtained from hospital records available, the registers, EMR and reports generated. The data was coded and analyzed using the statistical package for social sciences (SPSS). A p-value of less than 0.05 was considered as statistically significant. From the findings, half of the staff had been trained on data management while half was not. All the health facilities used Electronic Medical Records however with unstable local network connectivity. It was also noted that staff supervision was inconsistent and that staff had negative attitude towards data use. There is need for users and utilizers of health information to be trained in all aspects of data to enhance data quality; there is also need to ensure availability of data collection tools either soft or hard. Advocacy for consistent support supervision to facilitate data utilization; this would improve the staff attitude on data capture, demand and use.Item Factors influencing access to contraceptives among women of reproductive age in public primary healthcare facilities in Kajiado Central subcounty, Kenya(JOGECA, 2022-09) Alukwe, Beatrice A.; Njoroge, Kezia M.; Ong’ombe, Musa O.